Abstract

The clinical picture of acute adrenal insufficiency may closely simulate that of acute abdominal inflammatory disease. The term "pseudoperitonitis" has been used to describe this syndrome.3 Therefore, a differential diagnosis between Addisonian crisis and an acute abdominal inflammation can sometimes be very difficult.3, 14

Surgical procedures in cases of severe adrenal insufficiency are likely to lead to fatal results.2, 8, 11 A careful examination for any manifestation of impending crisis is therefore indicated in every Addisonian patient with symptoms of acute abdominal disease. It is equally important in all persons with chronic abdominal pain for whom surgery is considered necessary